Individual
YATSARY ORDAZ AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4922 MACARTHUR RD, MUSKEGON, MI 49442
(616) 419-9941
Mailing address
4922 MACARTHUR RD, MUSKEGON, MI 49442
(616) 419-9941
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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